DRAFT Paul Tang, Chair George Hripcsak, Co-Chair Meaningful Use Workgroup October 28, 2013

  • View
    212

  • Download
    0

Embed Size (px)

Text of DRAFT Paul Tang, Chair George Hripcsak, Co-Chair Meaningful Use Workgroup October 28, 2013

  • Slide 1
  • DRAFT Paul Tang, Chair George Hripcsak, Co-Chair Meaningful Use Workgroup October 28, 2013
  • Slide 2
  • DRAFT Workplan 1 DateMeeting Tasks 10/28/2013 10:00-12:00 ET Continue review of objectives (Finish subgroup 2, follow-up with subgroup 4) 11/7/2013 Timing Care Planning: virtual hearing 9/23/13 11/21/2013 9:00-11:00 ET PGHD: recommendations from Consumer WG at 11/13/13 HITSC Review draft deeming recommendations from QM WG at 11/6/13 HITPC 11/26/2013 10:00-12:00 Final review of recommendations 12/4/2013 Present recommendations to HITPC TBD Deeming functional measures to be deemed Imaging: recommendations from December HITSC
  • Slide 3
  • DRAFT Engaging patients and families in their care: Stage 3 Priorities 2 Enabling active participation by patients and families to improve health and care Provide ability to contribute information in the record, including patient reported outcomes (PRO) Patient preferences recorded and used Target Outcome Goals MU Outcome Goals Patients understand their disease and treatments Patients participate in shared decision making Patient preferences honored across care teams View, download, transmit Clinical summary Patient-specific educational resources Patient reminders Secure messaging Advance directives Stage 3 Functionality Goals MU Outcome Goals Stage 1 + 2 Functional Objectives
  • Slide 4
  • DRAFT Engaging patients and families in their care: View, Download, Transmit (VDT) 3 Functionality Needed to Achieve Goals Eligible Professionals provide patients the ability to view online, download, and transmit (VDT) their health information within 24 hours if generated during the course of a visit Labs or other types of information not generated within the course of the visit should be made available to patients within four (4) business days of information becoming available Add family history to list of items included Recommend that CEHRT provide the ability for patients to designate to whom and when a summary of care document is sent to a patient- designated recipient, building upon Blue Button Stage 3 Functionality Goals Enabling active participation by patients and families to improve health and care Provide ability to contribute information in the record, including patient reported outcomes (PRO) Patient preferences recorded and used Former Objective EPs should make information available within 24 hours if generated during the course of a visit For labs or other types of information not generated within the course of the visit, it is made available to patients within 4 day of becoming available Potential to increase both thresholds (% offer and % use) based upon experience in Stage 2 Add optional item: family history Certification Criteria: CEHRT should provide the ability for patients to designate to whom and when a summary of care document is sent to a patient- designated recipient, building upon Blue Button. Mobile access to VDT, work with HITSC, Consumer Technology? CC around translating medical information into plain language (e.g. MedlinePlus)
  • Slide 5
  • DRAFT Former Objective Details VDT - 204 A EPs should make information available within 24 hours if generated during the course of a visit For labs or other types of information not generated within the course of the visit, it is made available to patients within four (4) business days of information becoming available to EPs Potential to increase both thresholds (% offer and % use) based upon experience in Stage 2 Add optional item: family history Note: Depending on experience in Stage 2, CMS may want to give credit to some providers (e.g. specialists) for view/download/transmit where the patient has requested that they prefer info to be sent to a location they specify (such as another provider portal or PHR), rather than only making available information on the providers portal. Certification Criteria: CEHRT should provide the ability for patients to designate to whom and when a summary of care document is sent to a patient-designated recipient, building upon Blue Button. 4
  • Slide 6
  • DRAFT Engaging patients and families in their care: Amendments 5 Functionality Needed to Achieve Goals CEHRT includes the functionality to provide patients with an easy way (e.g. secure messaging) to request an amendment (e.g., offer corrections, additions, or updates to the record) to specific elements in their record online (e.g. immunization record) Recommended as certification criteria only Stage 3 Functionality Goals Enabling active participation by patients and families to improve health and care Provide ability to contribute information in the record, including patient reported outcomes (PRO) Patient preferences recorded and used Former Objective Provide patients with an easy way to request an amendment to their record online (e.g., offer corrections, additions, or updates to the record)
  • Slide 7
  • DRAFT Former Objective Details Amendments - 204 D 6 Stage 2 Final RuleStage 3 Recommendations NewProvide patients with an easy way to request an amendment to their record online (e.g., offer corrections, additions, or updates to the record)
  • Slide 8
  • DRAFT Engaging patients and families in their care: Patient Generated Health Data 7 Stage 3 Functionality Goals Enabling active participation by patients and families to improve health and care Provide ability to contribute information in the record, including patient reported outcomes (PRO) Patient preferences recorded and used Functionality Needed to Achieve Goals Eligible Providers and Hospitals provide the capability for patients to electronically submit patient-generated health information through structured or semi- structured questionnaires (e.g., screening questionnaires, intake forms, risk assessment, functional status) using CEHRT Recommended as a Menu item Low threshold (e.g. 10%) Former Objective EP/EH MENU Objective: Patients have the ability to electronically submit PGH information EP/EH MENU Measure: Provide the ability to electronically submit PGH information through structured or semi-structured questionnaires (e.g., screening questionnaires, intake forms, risk assessment, functional status) for more than 10 % of all unique patients seen by the EP during the EHR reporting period. Standards work needed: Certification criteria for devices, continue to work with HITSC. Placeholder: Awaiting feedback from Consumer Engagement and Consumer Technology Workgroups
  • Slide 9
  • DRAFT Former Objective Details PGHD 204B Stage 3 Recommendations EP/EH MENU Objective: Patients have the ability to electronically submit patient- generated health information. EP/EH MENU Measure: Provide the ability to electronically submit patient- generated health information through structured or semi-structured questionnaires (e.g., screening questionnaires, intake forms, risk assessment, functional status) for more than 10 percent of all unique patients seen by the EP during the EHR reporting period. Standards work needed to incorporate and acknowledge PGHD feedback from HITSC needed. Certification criteria for devices, continue to work with the standards committee. Consumer technology will have information by the end of the August. 8
  • Slide 10
  • DRAFT Engaging patients and families in their care: Visit Summary/Clinical Summary 9 Functionality Needed to Achieve Goals Eligible Professionals provide office-visit summaries to patients or patient- authorized representatives with relevant, actionable information, and instructions pertaining to the visit in the format indicated by the patient Summaries should be shared in the format of the patients preference (e.g., telephone, email), if the provider has the technical capability Recommend that CEHRT draw from existing specified information enabling providers to include and exclude data based upon patient needs Threshold: High 50% Stage 3 Functionality Goals Enabling active participation by patients and families to improve health and care Provide ability to contribute information in the record, including patient reported outcomes (PRO) Patient preferences recorded and used Former Objective The visit summary should be pertinent to the office visit, not just an abstract from the medical record. EP Objective: An office-visit summary is provided to a patient or patient-authorized representative with relevant and actionable information and instructions pertaining to the visit in the format indicated by the patient. EP Measure: An office visit summary is provided to a patient or patient-authorized representative with relevant and actionable information and instructions pertaining to the visit in the format requested as indicated by the patient (e.g., available online, via email, print out of summary, etc.),if the provider has the technical capability within 1 business day for more than 50 percent of office visits. Certification criteria #1: Intent is to make sure the EHR can draw from the range of existing specified information and enable providers to include and exclude data based upon patient needs. Certification criteria #2: HITSC to identify what the communication preferences options should be. Providers should have the ability to select options that are technically feasible, these could include: Email, patient portal, regular mail.
  • Slide 11
  • DRAFT Stage 2 Final RuleStage 3 Recommendations EP Objective: Provide clinical summaries for patients for each office visit EP Measure: Clinical summaries provided to patients or patient- authorized representatives within 1 business day for more than 50 percent of office visits. The clinical summary should be pertinent to the office visit, not just an abstract from the medica